Individual
JILL L DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
100 N NINE MOUNDS ROAD, VERONA, WI 53593
(608) 845-9531
Mailing address
8007 EXCELSIOR DRIVE, MADISON, WI 53717
(608) 829-5247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2654
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39261400
—
WI
Enumeration date
03/24/2006
Last updated
07/08/2007
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